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Medientyp:
E-Artikel
Titel:
Prevalence of comorbidities in cases of Middle East respiratory syndrome coronavirus: a retrospective study
Beteiligte:
Alqahtani, F.Y.;
Aleanizy, F.S.;
Ali El Hadi Mohamed, R.;
Alanazi, M. S.;
Mohamed, N.;
Alrasheed, M. M.;
Abanmy, N.;
Alhawassi, T.
Erschienen:
Cambridge University Press (CUP), 2019
Erschienen in:Epidemiology and Infection
Sprache:
Englisch
DOI:
10.1017/s0950268818002923
ISSN:
1469-4409;
0950-2688
Entstehung:
Anmerkungen:
Beschreibung:
<jats:title>Abstract</jats:title><jats:p>The Middle East respiratory syndrome coronavirus (MERS-CoV) is a life-threatening respiratory disease with a high case fatality rate; however, its risk factors remain unclear. We aimed to explore the influence of demographic factors, clinical manifestations and underlying comorbidities on mortality in MERS-CoV patients. Retrospective chart reviews were performed to identify all laboratory-confirmed cases of MERS-COV infection in Saudi Arabia that were reported to the Ministry of Health of Saudi Arabia between 23 April 2014 and 7 June 2016. Statistical analyses were conducted to assess the effect of sex, age, clinical presentation and comorbidities on mortality from MERS-CoV. A total of 281 confirmed MERS-CoV cases were identified: 167 (59.4%) patients were male and 55 (20%) died. Mortality predominantly occurred among Saudi nationals and older patients and was significantly associated with respiratory failure and shortness of breath. Of the 281 confirmed cases, 160 (56.9%) involved comorbidities, wherein diabetes mellitus, hypertension, ischemic heart disease, congestive heart failure, end-stage renal disease and chronic kidney disease were significantly associated with mortality from MERS-CoV and two or three comorbidities significantly affected the fatality rates from MERS-CoV. The findings of this study show that old age and the existence of underlying comorbidities significantly increase mortality from MERS-CoV.</jats:p>